Nonsurgical treatment of pyomyoma in the postpartum period.

Surg Infect (Larchmt)

Service of Obstetrics, Universitair Ziekenhuis Brussel, Laarbeeklaan 101, Brussels, Belgium.

Published: February 2011

Background: Only 13 cases of pyomyoma related to pregnancy have been described since 1945. Treatment consists of hysterectomy, which exposes critically ill patients to operative risks and induces infertility.

Cases: Three cases of pyomyoma in the postpartum period are described. Treatment using computed tomography-guided drainage was realized successfully in two cases.

Conclusion: Therapy via drainage and lavage of pyomyoma is a viable option to preserve patient fertility. In the absence of a proper response to this treatment, total abdominal hysterectomy is the treatment of choice.

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Source
http://dx.doi.org/10.1089/sur.2009.081DOI Listing

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